• Critical care clinics · Oct 2016

    Review

    Colloids in Acute Burn Resuscitation.

    • Robert Cartotto and David Greenhalgh.
    • Department of Surgery, Ross Tilley Burn Centre, Sunnybrook Health Sciences Centre, University of Toronto, Room D712, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada. Electronic address: robert.cartotto@sunnybrook.ca.
    • Crit Care Clin. 2016 Oct 1; 32 (4): 507-23.

    AbstractColloids have been used in varying capacities throughout the history of formula-based burn resuscitation. There is sound experimental evidence that demonstrates colloids' ability to improve intravascular colloid osmotic pressure, expand intravascular volume, reduce resuscitation requirements, and limit edema in unburned tissue following a major burn. Fresh frozen plasma appears to be a useful and effective immediate burn resuscitation fluid but its benefits must be weighed against its costs, and risks of viral transmission and acute lung injury. Albumin, in contrast, is less expensive and safer and has demonstrated ability to reduce resuscitation requirements and possibly limit edema-related morbidity.Copyright © 2016 Elsevier Inc. All rights reserved.

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